Individual provider Active NPI

Allan J Rodrigues, MD

  • Specialist
  • New Haven, CT
National Provider Identifier
1871531269
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
33716 Issued in CT
Practice address
136 Sherman Ave
Suite 205
New Haven, CT 06511-5238
Phone
(203) 787-5115
Fax
(203) 787-9736
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 033716 CT
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 033716 CT
Pulmonary Disease Physician 207RP1001X 033716 CT
Specialist 174400000X 33716 CT Primary

Addresses

Primary practice location

136 Sherman Ave
Suite 205
New Haven, CT 06511-5238

Mailing address

136 Sherman Ave
Suite 205
New Haven, CT 06511-5238
Phone (203) 787-5115

Other identifiers 1

IdentifierTypeStateIssuer
1337163MedicaidCT

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address allanrodrigues@chapelpulmonaryandcc.direct.emds.com Direct
Direct Messaging Address allanrodrigues@chapelpulmonaryandcc.direct.emds.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081112000293 CT Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8123187622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

136 Sherman Ave
New Haven, CT 06511-5210
Phone (203) 787-5115

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
53.96 of 100Reported as group
Quality
0
Improvement activities
40
Cost
62.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
033716CTMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chapel Pulmonary and Critical Care, LLC Critical Care Medicine CurrentSince Jan 1, 2009 Accepting new patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Dec 15, 2020 Accepting new patients
Saint Raphael Faculty Physicians Internal Medicine Past Accepting new patients

Locations

136 Sherman Ave
Ste 205
New Haven, CT 06511
Phone (203) 732-1352

1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300

20 York St
Unit CB2041
New Haven, CT 06510
Phone (203) 688-4741

175 Sherman Ave
New Haven, CT 06511
Phone (203) 562-5115

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1871531269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SHERMAN AVE",
            "address_2": "SUITE 205",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115238",
            "telephone_number": "203-787-5115",
            "fax_number": "203-787-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 SHERMAN AVE",
            "address_2": "SUITE 205",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115238",
            "telephone_number": "203-787-5115",
            "fax_number": "203-787-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUES",
        "first_name": "ALLAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "033716",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CT",
            "license": "033716",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "033716",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "33716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1337163",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allanrodrigues@chapelpulmonaryandcc.direct.emds.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "136 Sherman Ave",
            "address_2": "Suite 205",
            "city": "New Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065115238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allanrodrigues@chapelpulmonaryandcc.direct.emds.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "136 Sherman Ave",
            "address_2": "Suite 205",
            "city": "New Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065115238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.